Individual
MRS. KATHLEEN JANINE MAGONIGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7824 WILDA LN NE, OLYMPIA, WA 98516-9356
(360) 413-1750
Mailing address
1901 S. UNION AVE., SUITE A-244, TACOMA, WA 98405
(253) 459-6500
(253) 459-6501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30007856
WA
Other
Enumeration date
08/30/2007
Last updated
10/04/2011
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